Based on public Medicaid payment data.
Mathew Charles Gordon
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
235 E Hildebrand Ave
San Antonio, TX 782122430
Phone
2108244501
NPI
1265591382
Procedures
2
Total Claims
820
Patients Served
634
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Dental Cleaning & Exam | $17.91 | 538 | 534 |
| Tooth Extraction | $282.42 | 282 | 100 |
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